SearchTexas2255A2300X

Charles Young, LAT

NPI 1215686001 · on the registry since 2022 · sole proprietor

Practice

Address
5406 Maple Vis
San Antonio, TX 78247
Phone
(210) 607-0305

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas